Individual provider Active NPI

Lauren M Wheeler, MS LPC NCC

  • Professional Counselor
  • Hattiesburg, MS
National Provider Identifier
1902946254
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
554 Issued in MS
Practice address
140 Mayfair Rd Ste 300
Hattiesburg, MS 39402-1699
Phone
(601) 296-2126
Fax
(601) 602-3296
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 554 MS Primary

Addresses

Primary practice location

140 Mayfair Rd Ste 300
Hattiesburg, MS 39402-1699

Mailing address

140 Mayfair Rd Ste 300
Hattiesburg, MS 39402-1699
Phone (601) 296-2126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426001400 MS Practitioner - Mental Health Counselor 4587004379 Practice locations: Hattiesburg, MS

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Mayfair Rd
Suite 300
Hattiesburg, MS 39402-1699
Phone (601) 296-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Willoughby, PHD, LLC PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1902946254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAYFAIR RD STE 300",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021699",
            "telephone_number": "601-296-2126",
            "fax_number": "601-268-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYFAIR RD STE 300",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021699",
            "telephone_number": "601-296-2126",
            "fax_number": "601-602-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "LAUREN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS LPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.